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Oklahoma rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $4,856.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.03 / $1,155.23 / $1,155.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.29 / $1,477.09 / $1,816.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.64 / $1,463.11 / $1,887.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.33 / $1,653.26 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.11 / $1,292.35 / $10,299.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.04 / $1,177.36 / $1,660.65